The nurse is providing discharge instructions to a client with gout in the left great toe who received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom should the nurse explain is most important for the client to report to the healthcare provider?

Gastric Irritation.

Moon facies.

Abdominal striae.

Rapid weight gain.

Answer and Explanation

The Correct Answer is D

A. Gastric Irritation.

While gastric irritation is a common side effect of prednisone, it is not as critical as some other potential adverse effects and can often be managed with medication or dietary changes.

B. Moon facies.

Moon facies is a sign of Cushing's syndrome, a potential long-term side effect of prednisone, but it does not require immediate reporting compared to more acute symptoms.

C. Abdominal striae.
Abdominal striae (stretch marks) are a long-term side effect of corticosteroids like prednisone, but they are not typically an urgent concern.

D. Rapid weight gain.

This is the correct answer because rapid weight gain can indicate fluid retention, which may be a sign of more serious side effects such as heart failure or severe hypertension. It requires prompt medical attention to prevent further complications.

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Correct Answer is B

Explanation

A. Providing counseling about contraceptives may not address the immediate concern of managing genital herpes or the risks associated with multiple sexual partners.
B. Remaining non-judgmental and assuring the client of confidentiality is crucial to establishing trust and ensuring open communication. This approach encourages the client to share accurate information about their sexual history and current concerns, which is essential for effective STI management and prevention.
C. Informing the client that complications will not result from reinfection is inaccurate and may minimize the seriousness of the STI. Genital herpes can cause recurrent outbreaks and potentially lead to complications such as neonatal herpes if transmitted to a newborn during childbirth.

D. Clarifying that all STIs are transmitted through sexual intercourse is true but does not address the client's specific situation or provide guidance on managing genital herpes and reducing the risk of transmission.

A. Provide a flexible activity schedule. B. Provide high-calorie nutritional supplements. C. Allow the client to eat meals alone in her room. D. Allow the client to choose her clothes independently.

Correct Answer is A

No explanation

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The nurse is providing discharge instructions to a client with gout in the left great toe who received a prescription for prednisone 30 mg by mouth to be administered each day. Which symptom should the nurse explain is most important for the client to report to the healthcare provider?

Nursing Test Bank

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